"Parirás com Dor": a violência obstétrica revisitada

Abstract

Faced with a social context in which instrumental births predominate, via cesarean surgery, in private hospitals and the “cascade of interventions” in vaginal deliveries in Brazilian public hospitals, the women’smovement marked the beginning of the 21st century with the name “obstetric violence”. The understanding of obstetric violence ranges from physical, psychological, verbal, symbolic, sexual aggressions to negligencein care, discrimination, excessive and inappropriate medicalization, adherence to obstetric practices that are not recommended, painful, harmful and not based on scientific evidence which are experienced at the time of pregnancy, childbirth, birth and postpartum. Aspects of this violence - with imposition of pain, suffering and preventable deaths - are legitimized by obstetric science and authorized by the State as assistanceto sexual and reproductive health. We argue that obstetric violence is a misogynistic act of punishment for women, the result of centuries of denial of their sexuality and the ability to decide. The purpose of the article is to reflect on how this political authorization was given to violate the bodies of women, as well as their naturalization and invisibility justified by science and certain obstetric practices. Being part of a broader research, historical analyzes of feminist nature were privileged, whose collection of knowledge allowed to track the process of elaboration of the concept and show how the intrinsic relations between childbirth and State policies, through the different assistance - public and private - coordinate the discipline over theexpropriated bodies of women.